[The musculo-mucosal facial artery flap: harvesting technique and indications].
OBJECTIVE
Describe the anatomy and the harvesting technique of the facial artery musculo-mucosal flap (FAMM) and precise its indications in head and neck reconstruction.


METHODS
Retrospective review of our experience and review of the literature.


RESULTS
Described by Pribaz et al. [Plast Reconstr Surg 90 (1992) 421-9] in 1992, the FAMM flap relies on the facial artery and can be used with a superior or inferior base depending on the deficit to be reconstructed. Venous drainage is usually assured by buccal plexus veinules instead of the facial vein. In our experience, the FAMM flap has been used mainly for limited soft tissue defects of the oral cavity following cancer ablation. Other indications were coverage of oropharyngeal, intranasal and orbital defects. The FAMM flap has also been used to treat mandibular osteoradionecrosis.


CONCLUSIONS
Harvesting of the FAMM flap is easy and safe. This flap shows versatility in head and neck reconstruction.
Ayad
T
T
Service d'ORL et chirurgie cervicofaciale, institut de cancérologie Gustave-Roussy, 39, rue Camille-Desmoulins, 94805 Villejuif, France.
Kolb
F
F
De Monès
E
E
Mamelle
G
G
Tan
H K
HK
Temam
S
S
D001158:Arteries / Q000637:transplantation*; D005152:Facial Muscles / Q000637:transplantation*; D006258:Head and Neck Neoplasms / Q000601:surgery; D006801:Humans; D008499:Medical Records; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D013524:Surgical Flaps / Q000098:blood supply* / Q000592:standards*; D016896:Treatment Outcome